Management of patients with infective endocarditis: current state-of-art. Part I: clinical picture, diagnosis, differential diagnosis

B. Belov, G. Tarasova, N. V. Muravyova
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Abstract

   The problem of infective endocarditis (IE) remains relevant due to the high mortality rate and the development of severe complications. IE is a polyetiological disease, the occurrence and development of which can be caused by an extremely extensive list of pathogens, which is replenished almost annually. The pronounced clinical polymorphism of IE determines the importance of its early diagnosis, including the use of new medical technologies. Timely informing physicians about the modern principles of monitoring of patients with IE is of great practical importance. Part I of the article describes the clinical features, basic principles of diagnosis and differential diagnosis of IE, taking into account the recommendations of the European Society of Cardiology 2023.
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感染性心内膜炎患者的治疗:最新进展。第一部分:临床表现、诊断、鉴别诊断
感染性心内膜炎(IE)的死亡率很高,而且会引发严重的并发症,因此这一问题仍然十分重要。IE 是一种多病原体疾病,其发生和发展可由极其广泛的病原体引起,几乎每年都有新的病原体出现。IE 明显的临床多态性决定了早期诊断的重要性,包括使用新的医疗技术。及时让医生了解监测 IE 患者的现代原则具有重要的现实意义。文章第一部分结合欧洲心脏病学会 2023 年的建议,介绍了 IE 的临床特征、基本诊断原则和鉴别诊断。
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